AMS Claim Specialist

Key Responsibilities:

· Handle, review, and administer Family & Medical Leave Act standalone (as well as other leave) claims and adhere to federal and state regulatory and/or company plan requirements and established FMLA workflow procedures and evaluate against appropriate leave plans and make initial claim decisions.

· Complete eligibility decisions during intake call, gather pertinent data when necessary, from employee or other supporting systems as well as perform leave follow-ups as required, including recertification of health condition, intermittent claim tracking, RTW confirmation, etc.

· Update systems to accurately reflect leave status and ensure appropriate diary documentation exists.

Essential Business Experience and Technical Skills:

Required:

· High school diploma

· 2 yrs. related experience and strong customer satisfaction focus and attention to detail

Preferred:

· Bachelor’s degree

· Knowledge of system applications and Disability claims knowledge/working knowledge of FMLA/Disability/Leave procedures preferred

Business Category

Operations – Claims

Equal Employment Opportunity/Disability/Veterans

If you need an accommodation due to a disability, please email us at accommodations@metlife.com. This information will be held in confidence and used only to determine an appropriate accommodation for the application process.

MetLife maintains a drug-free workplace.